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1831109628
JACQUELYNNE LEE CHARITY
WATERVILLE, ME
NPI
1831109628
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Former Name
JACQUELYNNE LEE RUSH
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ME LC10865)
Enumeration Date
2006-08-08
Last Update Date
2007-07-08
Business Address
-- JACQUELYNNE LEE CHARITY LMSW
67 EUSTIS PKWY
WATERVILLE, ME 04901-5173
Phone number: 207-873-2136
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Mailing Address
-- JACQUELYNNE LEE CHARITY LMSW
67 EUSTIS PKWY
WATERVILLE, ME 04901-5173
Phone number: 207-873-2136
Copy
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